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Managing Health Services Organizations and Systems.

By: Contributor(s): Material type: TextTextPublisher: Chicago : Health Professions Press, Inc., 2021Copyright date: �2021Description: 1 online resource (763 pages)Content type:
  • text
Media type:
  • computer
Carrier type:
  • online resource
ISBN:
  • 9781938870910
Genre/Form: Additional physical formats: Print version:: Managing Health Services Organizations and SystemsOnline resources:
Contents:
Intro -- Title Page -- Copyright -- Contents -- About the Authors -- Preface -- About this Edition -- Acknowledgments -- Acronyms Used in Text -- Dedication -- Part I. The Environment -- Chapter 1 - Healthcare in the United States -- Health and System Goals -- Lack of Synchrony -- Processes That Produce Health Policy -- A Brief History of Health Services in the United States -- Other Western Systems -- Structure of the Health Services System -- Classification and Types of HSOs -- Local, State, and Federal Regulation of HSOs/HSs -- Other Regulators of HSOs/HSs -- Accreditation in Healthcare -- Education and Regulation of Health Services Managers -- Regulation and Education of Selected Health Occupations -- Associations for Individuals and Organizations -- Paying for Health Services -- Government Payment Methodologies -- System Trends -- Case Study 1. Gourmand and Food-A Fable -- Case Study 2. Normal Saline and Hurricane Maria -- Case Study 3. Bipartisan Policy Group Proposes Cuts to Hospital Spending -- Notes -- Chapter 2 - Ethical and Legal Environment -- Society and the Law -- Relationship of Law to Ethics -- Ethics Framework -- Personal Ethic and Professional Codes -- Health Services Codes of Ethics -- Ethical Issues Affecting Governance and Management -- Biomedical Ethical Issues -- End-of-Life Decisions -- Organizational Responses to Ethical Problems -- Managers and the Law -- Torts and HSOs/HSs -- Reforms of the Medical Malpractice System -- Select Legal Areas Affecting HSOs/HSs -- Legal Process of a Civil Lawsuit -- Special Considerations for the Manager -- Case Study 1. Understanding -- Case Study 2. Viral Pandemic -- Case Study 3. Concerned Physicians, Unconcerned Managers -- Case Study 4. Which Hurts More: The Truth or the Lie? -- Notes -- Chapter 3 - Healthcare Economics -- Economic Growth in Healthcare.
Special Characteristics of the Healthcare Economy -- Healthcare Demand -- Healthcare Supply -- Economic Solutions for Healthcare -- Case Study 1. Price and Discount Transparency -- Case Study 2. Comparing Health Care in High-Income Countries -- Case Study 3. The Role of Insurance in Guaranteeing Access to Healthcare -- Case Study 4. Physician Consolidation -- Notes -- Chapter 4 - The Quality Imperative: The Theory -- Improving Quality and Performance -- Importance of QI -- Background to the Present Focus on Quality Improvement -- Taking a CQI Approach -- CQI, PI, and Competitive Position -- Theory of CQI -- Strategic Quality Planning: Hoshin Planning -- Two Models to Improve Processes -- Organizing for Improvement -- The Next Iteration of CQI: A Community Focus -- Case Study 1. Extent of Obligation -- Case Study 2. Surgical Safety-Retained Foreign Objects -- Case Study 3. Which Team's Fastest? -- Notes -- Chapter 5 - Healthcare Technology -- Background -- Types of Technologies -- Effects of Technology on Health Status -- Forces Affecting Development and Diffusion of Technology -- Responses to Diffusion and Use of Technology -- Health Technology Assessment -- HSO/HS Technology Decision Making -- Managing Biomedical Equipment -- Health Information Technology -- Enterprise-Level EHRs -- Telemedicine -- Future Developments -- Technology and the Future of Medicine -- Case Study 1. Is Cleansing Your Hands in My Room a Problem, Doctor? -- Case Study 2. "Who Does What?" -- Case Study 3. "Let's 'Do' a Joint Venture" -- Notes -- Part II. The Tools -- Chapter 6 - Managerial Problem Solving and Decision Making -- Problem Analysis and Decision Making -- Problem Solving -- Process and Model -- Influencing Problem Solving and Decision Making -- Unilateral and Group Problem Solving -- Problem-Solving and Decision-Making Styles -- Case Study 1. The Nursing Assistant.
Case Study 2. The New Charge Nurse -- Case Study 3. Chris's New Baby -- Notes -- Chapter 7 - Financial Management -- Organization of Financial Management -- Healthcare Financial Accounting -- Cost Accounting -- Reimbursement -- Working Capital -- Resource Allocation -- Case Study 1. Calculating Net Patient Services Revenue -- Case Study 2. Calculating Bad Debt Expense -- Case Study 3. Analyzing Financial Statements -- Case Study 4. Break-even Analysis for a Capitated Contract -- Case Study 5. Your Organization's Path to the Second Curve: Integration and Transformation -- Case Study 6. Economic Order Quantity and Total Cost -- Notes -- Chapter 8 - The Quality Imperative: Implementation -- Undertaking Process Improvement -- Other Improvement Methodologies -- Improvement and Problem Solving -- Statistical Process Control (SPC) -- Tools for Improvement -- Productivity and Productivity Improvement -- LIPs and CQI -- Patient and Staff Safety in Healthcare -- QI Methods Useful in Patient and Staff Safety -- Overlap of Patient and Staff Safety -- Sustainability -- Case Study 1. The Carbondale Clinic -- Case Study 2. Respiratory Pandemic and the Hospital -- Case Study 3. Infections-CLABSI -- Case Study 4. Sharps Injuries -- Case Study 5. Violence in the Workplace -- Notes -- Chapter 9 - Communicating -- Communicating Is Key to Effective Stakeholder Relations -- Communication Process Model -- Barriers to Effective Communication -- Flow of Intraorganizational Communication -- Communicating with External Stakeholders -- Special Situations of Communicating with External Stakeholders -- Communicating with Internal Stakeholders -- Case Study 1. How Much Should We Say? -- Case Study 2. Getting Help When Needed -- Case Study 3. Adding Verbal Orders to Written Orders -- Notes -- Part III. Application -- Chapter 10 - Planning -- Strategizing and Systems Theory.
Strategizing and Planning -- The Strategizing Process -- Situational Analysis -- Internal Environmental Analysis -- External Environmental Analysis -- Formulating Strategy -- Implementing Strategy -- Strategic Control -- Strategic Marketing -- Core Concepts in Marketing -- Examples of Marketing Strategies -- Strategic Issues Management -- Case Study 1. No Time for Strategizing -- Case Study 2. A Response to Change -- Case Study 3. HSO Strategic Assessment -- Notes -- Chapter 11 - Organizing -- Designing the Organization -- Culture and Values -- Theoretical Background -- Formal and Informal Organizations -- Designing Interorganizational Relationships -- The Triad of Key HSO Components -- Organization of Select HSOs -- Health Systems -- Diversification in HSOs and HSs -- The HSO/HS Environment -- Case Study 1. The Clinical Staff -- Case Study 2. State Allocation Decisions-Centralize or Decentralize -- Case Study 3. Physicians' Unprofessional Behavior -- Case Study 4. CEO Salary versus Patient Care -- Notes -- Chapter 12 - Staffing -- Background -- Staffing -- HRM Activities -- Labor Relations Law and Unionization -- Self-Service HR -- Foreign Workers -- Teams -- Virtual Workforce -- Social Media in the Workplace and in HR -- Personality Testing -- Outsourcing Some HRM -- Case Study 1. Today's Workforce -- Case Study 2. The Photographer Who Posed as a Gynecologist -- Case Study 3. Doctor of Death -- Case Study 4. Let the Punishment Fit the Crime -- Notes -- Chapter 13 - Directing -- Directing as Leading: Defined and Modeled -- Work of Managers -- Management Functions, Skills, Roles, and Competencies -- Managers and Leaders: Are They Different? -- Ethical Responsibilities of Leaders -- Power and Influence in Leading -- Motivation Defined and Modeled -- Conclusions About Power, Influence, and Motivation in Leading -- Approaches to Understanding Leadership.
Toward an Integrative Approach to Effective Leading -- Case Study 1. Healthcare Executives' Responsibility to Their Communities -- Case Study 2. The Young Associate's Dilemma -- Case Study 3. Ethical Aspects of Leadership -- Case Study 4. Reluctant Leader -- Notes -- Chapter 14 - Controlling -- Monitoring (Control) and Intervention Points -- Control Model -- Levels of Control -- Control Considerations -- Control and CQI -- Control and Problem Solving -- Control and Information Systems -- Risk Management and Quality Improvement -- Healthcare and Public Health Emergency Preparedness -- Control Methods -- Project Management -- Case Study 1. Centralized Printers -- Case Study 2. Healthcare Emergency Preparedness -- Case Study 3. Placing Imaging Services to Support ED Operations -- Notes -- Index.
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Intro -- Title Page -- Copyright -- Contents -- About the Authors -- Preface -- About this Edition -- Acknowledgments -- Acronyms Used in Text -- Dedication -- Part I. The Environment -- Chapter 1 - Healthcare in the United States -- Health and System Goals -- Lack of Synchrony -- Processes That Produce Health Policy -- A Brief History of Health Services in the United States -- Other Western Systems -- Structure of the Health Services System -- Classification and Types of HSOs -- Local, State, and Federal Regulation of HSOs/HSs -- Other Regulators of HSOs/HSs -- Accreditation in Healthcare -- Education and Regulation of Health Services Managers -- Regulation and Education of Selected Health Occupations -- Associations for Individuals and Organizations -- Paying for Health Services -- Government Payment Methodologies -- System Trends -- Case Study 1. Gourmand and Food-A Fable -- Case Study 2. Normal Saline and Hurricane Maria -- Case Study 3. Bipartisan Policy Group Proposes Cuts to Hospital Spending -- Notes -- Chapter 2 - Ethical and Legal Environment -- Society and the Law -- Relationship of Law to Ethics -- Ethics Framework -- Personal Ethic and Professional Codes -- Health Services Codes of Ethics -- Ethical Issues Affecting Governance and Management -- Biomedical Ethical Issues -- End-of-Life Decisions -- Organizational Responses to Ethical Problems -- Managers and the Law -- Torts and HSOs/HSs -- Reforms of the Medical Malpractice System -- Select Legal Areas Affecting HSOs/HSs -- Legal Process of a Civil Lawsuit -- Special Considerations for the Manager -- Case Study 1. Understanding -- Case Study 2. Viral Pandemic -- Case Study 3. Concerned Physicians, Unconcerned Managers -- Case Study 4. Which Hurts More: The Truth or the Lie? -- Notes -- Chapter 3 - Healthcare Economics -- Economic Growth in Healthcare.

Special Characteristics of the Healthcare Economy -- Healthcare Demand -- Healthcare Supply -- Economic Solutions for Healthcare -- Case Study 1. Price and Discount Transparency -- Case Study 2. Comparing Health Care in High-Income Countries -- Case Study 3. The Role of Insurance in Guaranteeing Access to Healthcare -- Case Study 4. Physician Consolidation -- Notes -- Chapter 4 - The Quality Imperative: The Theory -- Improving Quality and Performance -- Importance of QI -- Background to the Present Focus on Quality Improvement -- Taking a CQI Approach -- CQI, PI, and Competitive Position -- Theory of CQI -- Strategic Quality Planning: Hoshin Planning -- Two Models to Improve Processes -- Organizing for Improvement -- The Next Iteration of CQI: A Community Focus -- Case Study 1. Extent of Obligation -- Case Study 2. Surgical Safety-Retained Foreign Objects -- Case Study 3. Which Team's Fastest? -- Notes -- Chapter 5 - Healthcare Technology -- Background -- Types of Technologies -- Effects of Technology on Health Status -- Forces Affecting Development and Diffusion of Technology -- Responses to Diffusion and Use of Technology -- Health Technology Assessment -- HSO/HS Technology Decision Making -- Managing Biomedical Equipment -- Health Information Technology -- Enterprise-Level EHRs -- Telemedicine -- Future Developments -- Technology and the Future of Medicine -- Case Study 1. Is Cleansing Your Hands in My Room a Problem, Doctor? -- Case Study 2. "Who Does What?" -- Case Study 3. "Let's 'Do' a Joint Venture" -- Notes -- Part II. The Tools -- Chapter 6 - Managerial Problem Solving and Decision Making -- Problem Analysis and Decision Making -- Problem Solving -- Process and Model -- Influencing Problem Solving and Decision Making -- Unilateral and Group Problem Solving -- Problem-Solving and Decision-Making Styles -- Case Study 1. The Nursing Assistant.

Case Study 2. The New Charge Nurse -- Case Study 3. Chris's New Baby -- Notes -- Chapter 7 - Financial Management -- Organization of Financial Management -- Healthcare Financial Accounting -- Cost Accounting -- Reimbursement -- Working Capital -- Resource Allocation -- Case Study 1. Calculating Net Patient Services Revenue -- Case Study 2. Calculating Bad Debt Expense -- Case Study 3. Analyzing Financial Statements -- Case Study 4. Break-even Analysis for a Capitated Contract -- Case Study 5. Your Organization's Path to the Second Curve: Integration and Transformation -- Case Study 6. Economic Order Quantity and Total Cost -- Notes -- Chapter 8 - The Quality Imperative: Implementation -- Undertaking Process Improvement -- Other Improvement Methodologies -- Improvement and Problem Solving -- Statistical Process Control (SPC) -- Tools for Improvement -- Productivity and Productivity Improvement -- LIPs and CQI -- Patient and Staff Safety in Healthcare -- QI Methods Useful in Patient and Staff Safety -- Overlap of Patient and Staff Safety -- Sustainability -- Case Study 1. The Carbondale Clinic -- Case Study 2. Respiratory Pandemic and the Hospital -- Case Study 3. Infections-CLABSI -- Case Study 4. Sharps Injuries -- Case Study 5. Violence in the Workplace -- Notes -- Chapter 9 - Communicating -- Communicating Is Key to Effective Stakeholder Relations -- Communication Process Model -- Barriers to Effective Communication -- Flow of Intraorganizational Communication -- Communicating with External Stakeholders -- Special Situations of Communicating with External Stakeholders -- Communicating with Internal Stakeholders -- Case Study 1. How Much Should We Say? -- Case Study 2. Getting Help When Needed -- Case Study 3. Adding Verbal Orders to Written Orders -- Notes -- Part III. Application -- Chapter 10 - Planning -- Strategizing and Systems Theory.

Strategizing and Planning -- The Strategizing Process -- Situational Analysis -- Internal Environmental Analysis -- External Environmental Analysis -- Formulating Strategy -- Implementing Strategy -- Strategic Control -- Strategic Marketing -- Core Concepts in Marketing -- Examples of Marketing Strategies -- Strategic Issues Management -- Case Study 1. No Time for Strategizing -- Case Study 2. A Response to Change -- Case Study 3. HSO Strategic Assessment -- Notes -- Chapter 11 - Organizing -- Designing the Organization -- Culture and Values -- Theoretical Background -- Formal and Informal Organizations -- Designing Interorganizational Relationships -- The Triad of Key HSO Components -- Organization of Select HSOs -- Health Systems -- Diversification in HSOs and HSs -- The HSO/HS Environment -- Case Study 1. The Clinical Staff -- Case Study 2. State Allocation Decisions-Centralize or Decentralize -- Case Study 3. Physicians' Unprofessional Behavior -- Case Study 4. CEO Salary versus Patient Care -- Notes -- Chapter 12 - Staffing -- Background -- Staffing -- HRM Activities -- Labor Relations Law and Unionization -- Self-Service HR -- Foreign Workers -- Teams -- Virtual Workforce -- Social Media in the Workplace and in HR -- Personality Testing -- Outsourcing Some HRM -- Case Study 1. Today's Workforce -- Case Study 2. The Photographer Who Posed as a Gynecologist -- Case Study 3. Doctor of Death -- Case Study 4. Let the Punishment Fit the Crime -- Notes -- Chapter 13 - Directing -- Directing as Leading: Defined and Modeled -- Work of Managers -- Management Functions, Skills, Roles, and Competencies -- Managers and Leaders: Are They Different? -- Ethical Responsibilities of Leaders -- Power and Influence in Leading -- Motivation Defined and Modeled -- Conclusions About Power, Influence, and Motivation in Leading -- Approaches to Understanding Leadership.

Toward an Integrative Approach to Effective Leading -- Case Study 1. Healthcare Executives' Responsibility to Their Communities -- Case Study 2. The Young Associate's Dilemma -- Case Study 3. Ethical Aspects of Leadership -- Case Study 4. Reluctant Leader -- Notes -- Chapter 14 - Controlling -- Monitoring (Control) and Intervention Points -- Control Model -- Levels of Control -- Control Considerations -- Control and CQI -- Control and Problem Solving -- Control and Information Systems -- Risk Management and Quality Improvement -- Healthcare and Public Health Emergency Preparedness -- Control Methods -- Project Management -- Case Study 1. Centralized Printers -- Case Study 2. Healthcare Emergency Preparedness -- Case Study 3. Placing Imaging Services to Support ED Operations -- Notes -- Index.

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Electronic reproduction. Ann Arbor, Michigan : ProQuest Ebook Central, 2022. Available via World Wide Web. Access may be limited to ProQuest Ebook Central affiliated libraries.

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